Electrophysiology Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Tehran, Iran; Department of Physiology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Neurophysiology Research Center, Shahed University, Tehran, Iran.
Brain Res Bull. 2021 Jul;172:229-235. doi: 10.1016/j.brainresbull.2021.05.001. Epub 2021 May 5.
Epilepsy is one of the most prevalent serious brain disorders worldwide. Accumulating evidence has suggested that inflammation participates in the progression and pathogenesis of epilepsy. During inflammation, a cytosolic multimolecular complex called the "inflammasome" is activated, driving the innate immune response. This inflammatory pathway by sensing various pathogens and molecules from damaged cells and then activation of caspase-1 enzyme initiates inflammatory responses. Activated caspase-1 leads to the proteolytic cleavage of the pro-inflammatory cytokines, interleukin-1β (IL-1β) and interleukin-18 (IL-18), and also induction of an inflammatory programmed cell death termed pyroptosis. NLR family pyrin domain-containing 1 (NLRP1) and NLRP3 are the two best-characterized inflammasome members, and both basic and clinical research has reported their activation during epilepsy. This overview is intended to summarize the current literature concerning NLRP1 and NLRP3 inflammasome activation and epilepsy.
癫痫是全球最常见的严重脑部疾病之一。越来越多的证据表明,炎症参与了癫痫的发生和发病机制。在炎症过程中,一种称为“炎症小体”的细胞质多分子复合物被激活,从而驱动先天免疫反应。这种炎症途径通过感知各种病原体和受损细胞中的分子,然后激活半胱天冬酶-1 酶,引发炎症反应。激活的半胱天冬酶-1 导致促炎细胞因子白细胞介素-1β(IL-1β)和白细胞介素-18(IL-18)的蛋白水解切割,以及称为细胞焦亡的炎症程序性细胞死亡的诱导。NLR 家族富含吡喃结构域的蛋白 1(NLRP1)和 NLRP3 是两种研究最充分的炎症小体成员,基础和临床研究都报告了它们在癫痫中的激活。本篇综述旨在总结 NLRP1 和 NLRP3 炎症小体激活与癫痫的现有文献。